NPI | 1700242666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009842) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009842) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2025-01-25 |