| NPI | 1114526456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401007194) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401007194) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-05-28 |