NPI | 1619603651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015788) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.013749) |
Enumeration Date | 2022-07-30 |
Last Update Date | 2025-07-30 |