| NPI | 1023610003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018470) |
| 101YP2500X Counselor, Professional (Licence: MI 640122296) | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2026-01-07 |