| NPI | 1417055385 |
|---|---|
| Former Name | DEBORAH ANN-MARIE DERMIDOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401007287) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301007765) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-01-12 |