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 |