NPI | 1871779447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401008956) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401008956) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-01-14 |