NPI | 1770357253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6362009703) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451022810) |
Enumeration Date | 2023-11-14 |
Last Update Date | 2023-11-14 |