NPI | 1619248580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.007890) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178007890) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2012-05-31 |