NPI | 1770952657 |
---|---|
Former Name | ELIZABETH YOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012469) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-09-21 |
Last Update Date | 2022-12-13 |