NPI | 1811227812 |
---|---|
Former Name | MICHAEL-RENEE GODFREY ASTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006036) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001641) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2021-08-11 |