NPI | 1710024187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180005468) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005468) |
106H00000X Marriage & Family Therapist (Licence: IL 180005468) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |