| NPI | 1184104630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401226356) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451023649) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2026-07-20 |