NPI | 1699197020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009673) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178009300) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2019-01-14 |