NPI | 1912386822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015065) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator (Licence: MI 6803086712) | |
Enumeration Date | 2015-05-26 |
Last Update Date | 2025-07-09 |