| NPI | 1013337542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013825) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2023-08-30 |