NPI | 1891228920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011665) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.012084) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2022-05-10 |