| NPI | 1154139251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451024094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451024094) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-21 |