NPI | 1699076158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009684) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180009684) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2023-02-24 |