NPI | 1760726970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301015310) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013299) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |