Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 6401006806 | MI |
Y | 101YP2500X | Professional Counselor | 6401006806 | MN |
NPI | 1114106358 |
---|---|
Provider Name | Barbara Anne Aimone |
First Address | Dearborn, MI 48124 |
Second Address | Dearborn, MI 48124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 27/10/2007 |