NPI | 1801181391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180007880) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007880) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2013-01-15 |