NPI | 1063908440 |
---|---|
Former Name | SHARON ABELSETH |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018994) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180011600) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2023-12-20 |