NPI | 1467946087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012236) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000071) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-06-18 |