NPI | 1659148484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 150.107202) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 150.107202) |
Enumeration Date | 2023-12-12 |
Last Update Date | 2023-12-12 |