NPI | 1730381906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008906) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013510) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2021-06-30 |