| NPI | 1053287227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451024642) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451024642) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6451024642) | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-11-04 |