NPI | 1295169555 |
---|---|
Former Name | MINDI IDA MAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007722) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2013-08-22 |
Last Update Date | 2020-01-23 |