NPI | 1689711178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401006046) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301009757) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2016-01-22 |