NPI | 1760084941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007610) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401223036) |
Enumeration Date | 2020-11-12 |
Last Update Date | 2024-01-22 |