Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 261116 | MI |
NPI | 1023340015 |
---|---|
Provider Name | Mrs. Diane L. Sterling |
First Address | Canton, MI 48187-2649 |
Second Address | Royal Oak, MI 48067-2706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 02/02/2010 |