NPI | 1912443482 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223373) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.011626) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2024-08-07 |