NPI | 1871672337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009264) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178003235) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2016-09-08 |