NPI | 1316037401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401003037) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802061014) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-08 |