Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6301017864 | MI |
NPI | 1023648953 |
---|---|
Provider Name | Yasmeen Saba El-Masry |
First Address | Dearborn, MI 48124-2262 |
Second Address | Dearborn, MI 48124-2262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2020 |
Last Update Date | 20/01/2020 |