NPI | 1073149175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018158) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401018158) |
101YM0800X Counselor, Mental Health (Licence: MI 6401018158) | |
Enumeration Date | 2020-03-20 |
Last Update Date | 2023-04-05 |