NPI | 1841581238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007714) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.007714) |
101YM0800X Counselor, Mental Health (Licence: IL 180.007714) | |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-04-20 |