| NPI | 1043670078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401224376) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401015326) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2024-10-25 |