NPI | 1932354800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007034624) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: MO 2007034624) | |
101YP2500X Counselor, Professional (Licence: IL 180.003290) | |
Enumeration Date | 2008-11-19 |
Last Update Date | 2020-05-19 |