| NPI | 1083215347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401223068) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401223068) |
| 101Y00000X Counselor (Licence: MO 2024015414) | |
| 101YM0800X Counselor Mental Health (Licence: MO 2024015414) | |
| 101YM0800X Counselor Mental Health (Licence: MI 6401223068) | |
| 101YP2500X Counselor Professional (Licence: MO 2024015414) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-07-23 |