| NPI | 1295806339 |
|---|---|
| Former Name | JUDITH ANN WHITE-O'BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401005003) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401005003) |
| 103T00000X Psychologist (Licence: MI 6301008661) | |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301008661) | |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2018-05-23 |