NPI | 1265403380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018974) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301010530) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2021-04-27 |