| NPI | 1144420704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401010630) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-08-30 |