| NPI | 1083134308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401223545) |
| 101YP2500X Counselor, Professional (Licence: VA 0701007019) | |
| 101Y00000X Counselor (Licence: VA 0701007019) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-10-11 |