NPI | 1144664814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401009246) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E0002624) |
Enumeration Date | 2013-04-24 |
Last Update Date | 2013-04-24 |