| NPI | 1023724127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224616) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022560) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-01-20 |