| NPI | 1144472341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011056) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401011056) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2018-10-04 |