NPI | 1154583342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401010070) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-06-28 |
Last Update Date | 2018-09-20 |