NPI | 1649594987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.002015) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2010-03-16 |
Last Update Date | 2010-03-16 |