NPI | 1841672813 |
---|---|
Former Name | JULIE ANNE MCKINSTRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008024) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301011513) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2022-03-29 |