NPI | 1902266349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011385) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011385) |
101YM0800X Counselor, Mental Health (Licence: MI 6401011385) | |
106H00000X Marriage & Family Therapist (Licence: MI 6401011385) | |
Enumeration Date | 2016-02-27 |
Last Update Date | 2022-02-16 |