NPI | 1942635404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401004785) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0123811) |
101YP2500X Counselor, Professional (Licence: CO LPC.0011797) | |
101YP2500X Counselor, Professional (Licence: MI 6401004785) | |
Enumeration Date | 2013-09-03 |
Last Update Date | 2021-11-15 |