NPI | 1083727192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301004020) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801063007) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2007-07-08 |