NPI | 1902817828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012467) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401008366) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2007-07-08 |