NPI | 1932966652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 23269040910) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 23269040910) |
101YS0200X Counselor, School (Licence: MI 23269040910) | |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-02-28 |