NPI | 1922230473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014121) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
104100000X Social Worker (Licence: MI 6803086312) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2021-02-15 |