NPI | 1528304607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013130) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013130) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-12-18 |
Last Update Date | 2024-05-11 |