NPI | 1912267444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013249) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013249) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2018-10-23 |