| NPI | 1043811938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401017503) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401016288) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-07-08 |