NPI | 1336518281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6401009406) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2019-03-11 |