NPI | 1760045215 |
---|---|
Former Name | ARLENE MARIE INNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019149) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6401017009) |
Enumeration Date | 2019-04-19 |
Last Update Date | 2022-03-18 |