Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6301014305 | MI |
NPI | 1053645416 |
---|---|
Provider Name | Hsiao-Wen Lo |
First Address | Ann Arbor, MI 48104-2017 |
Second Address | Ann Arbor, MI 48104-2017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2009 |
Last Update Date | 01/10/2009 |