NPI | 1528442910 |
---|---|
Former Name | TERESA BARABE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801109104) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006736) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2023-11-21 |