| NPI | 1598007148 | 
|---|---|
| Other Name | TINA MIVSHEK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC 60190151) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7332) | 
| 101YP2500X Counselor, Professional (Licence: OR C7332) | |
| Enumeration Date | 2013-03-21 | 
| Last Update Date | 2023-08-08 |