NPI | 1710378468 |
---|---|
Former Name | ALENA JONEL GRIESER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013481) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013481) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2023-06-15 |