NPI | 1396828778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007317) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301011056) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2007-07-08 |