NPI | 1639830821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451019802) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451019802) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-01-19 |