NPI | 1396172425 |
---|---|
Former Name | ALICIA L POSTEMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012140) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401012140) |
Enumeration Date | 2013-10-03 |
Last Update Date | 2024-02-29 |