NPI | 1306007612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401003036) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401003036) |
103T00000X Psychologist (Licence: MI 6301006535) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301006535) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2008-06-19 |