NPI | 1598956369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008747) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013080) |
104100000X Social Worker (Licence: MI 6802072238) | |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |