NPI | 1710191721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008027) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301011702) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |