| NPI | 1073006813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-10-16 |