| NPI | 1083166821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401015751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401015751) |
| 101YP2500X Counselor, Professional (Licence: MI 6401015751) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401017039) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2024-09-26 |