NPI | 1003245564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013605) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 950) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2013-11-05 |