NPI | 1295024982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012332) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 79154) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2024-04-09 |