NPI | 1881739605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401006379) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401006379) |
103T00000X Psychologist (Licence: MI 6301010138) | |
Enumeration Date | 2007-02-20 |
Last Update Date | 2022-05-18 |