| NPI | 1083072490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI L908633) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2020-06-02 |