NPI | 1043889801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223007) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401223007) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2023-12-12 |