NPI | 1902172182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008136) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008136) |
Enumeration Date | 2012-04-01 |
Last Update Date | 2025-06-30 |