| NPI | 1144729146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 010224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016465) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2020-02-27 |