NPI | 1679699920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000315) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401008033) |
103T00000X Psychologist | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2022-08-04 |