NPI | 1205280054 |
---|---|
Former Name | JOSHUA ANDREW ROUTHIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018744) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016475) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2024-06-28 |