NPI | 1891002242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007294) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 180007294) |
103TP2701X Psychologist, Group Psychotherapy (Licence: IL 180007294) | |
Enumeration Date | 2010-09-07 |
Last Update Date | 2022-10-13 |