NPI | 1689094344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009157) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: IL 178.007663) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2014-04-21 |
Last Update Date | 2024-01-30 |