| NPI | 1144762840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 084505) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018778) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2020-11-11 |