NPI | 1679087340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006246) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 180006246) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2017-11-16 |
Last Update Date | 2017-11-16 |