| NPI | 1144626227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013206) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2025-11-13 |