NPI | 1336194042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401009673) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6301013069) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2007-07-08 |