NPI | 1891725859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010165) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801034965) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2007-07-08 |