NPI | 1750688891 |
---|---|
Former Name | SOPHIA PAPAGEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009314) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006770) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2023-12-20 |