NPI | 1629451737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003113) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 003113) |
101YM0800X Counselor, Mental Health (Licence: IL 149.018867) | |
101YP2500X Counselor, Professional (Licence: MO 003113) | |
101YP2500X Counselor, Professional (Licence: IL 149.018867) | |
103TC1900X Psychologist, Counseling (Licence: MO 003113) | |
103TC1900X Psychologist, Counseling (Licence: IL 149.018867) | |
1041C0700X Social Worker, Clinical (Licence: IL 149.018867) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2024-06-23 |