NPI | 1205068707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012798) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-08-17 |
Last Update Date | 2013-10-02 |