| NPI | 1003111527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401018907) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011423) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2022-05-18 |