NPI | 1689938672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008263) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178006231) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2013-03-12 |