Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 178017213 | IL |
NPI | 1003582651 |
---|---|
Provider Name | Sonica Yin Li |
First Address | Skokie, IL 60077-1027 |
Second Address | Skokie, IL 60077-1027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2021 |
Last Update Date | 23/08/2021 |