| NPI | 1710463633 |
|---|---|
| Former Name | ROBIN SUZANNE MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6352000836) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401015266) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-06-19 |