NPI | 1134109226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401008766) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6301011550) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2019-12-20 |