NPI | 1922252568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.002054) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178002054) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2008-11-10 |
Last Update Date | 2023-05-12 |