NPI | 1477877363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301011709) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MI 6301011709) |
106H00000X Marriage & Family Therapist (Licence: MI 6301011709) | |
Enumeration Date | 2010-03-21 |
Last Update Date | 2010-03-21 |