NPI | 1205850914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401007219) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010964) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |