NPI | 1255585436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301012397) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MI 6301012397) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2012-08-10 |