NPI | 1407006489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 640101001) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000531) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2020-02-09 |