NPI | 1528232717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301009110) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401002275) |
163WC0400X Registered Nurse, Case Management (Licence: MI 4704117831) | |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |