NPI | 1811164783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149001506) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801089767) |
Enumeration Date | 2008-05-10 |
Last Update Date | 2015-09-01 |