NPI | 1417494410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401222289) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017808) |
101YM0800X Counselor, Mental Health | |
247200000X Technician, Other | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2023-07-12 |