NPI | 1629601554 |
---|---|
Professional Name | LA'DIVA HALTHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018018) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018018) |
Enumeration Date | 2020-02-19 |
Last Update Date | 2022-08-10 |