NPI | 1528346707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011150) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011150) |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School (Licence: MI IF0000000185872) | |
Enumeration Date | 2011-07-22 |
Last Update Date | 2024-02-28 |