NPI | 1679037121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015981) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-01-29 |
Last Update Date | 2024-04-29 |