NPI | 1457675183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011568) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401011568) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2019-04-24 |