NPI | 1891916227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401004455) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301008961) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |