NPI | 1306156047 |
---|---|
Former Name | KALI JO FOUTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019178) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002494A) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2025-01-16 |