NPI | 1679078612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013687) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014729) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-03-30 |