NPI | 1982003851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 149.016068) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 149.016068) |
Enumeration Date | 2014-08-17 |
Last Update Date | 2014-08-17 |