NPI | 1487376950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224663) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401224663) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2024-10-29 |