NPI | 1881062412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223723) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451018735) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2023-11-16 |