NPI | 1871772426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301013500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401010705) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2015-03-03 |