NPI | 1023668076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014638) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014638) |
Enumeration Date | 2019-09-11 |
Last Update Date | 2024-02-29 |