NPI | 1275830093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401013838) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2011-02-14 |
Last Update Date | 2016-09-26 |