NPI | 1891946653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401000012) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 200344) |
103TC1900X Psychologist, Counseling (Licence: MI 6301007823) | |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |