| NPI | 1184164790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401015521) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: MI 6401015521) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2022-08-03 |