NPI | 1942573084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.007035) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.007035) |
Enumeration Date | 2012-02-21 |
Last Update Date | 2012-02-27 |