| NPI | 1164027066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223421) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018170) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2023-05-18 |