NPI | 1679802953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012842) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013011) |
Enumeration Date | 2009-12-15 |
Last Update Date | 2020-07-27 |