NPI | 1225467129 |
---|---|
Former Name | JOSEPHINE PARRISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013851) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015627) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2023-09-27 |