| NPI | 1184238347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401223254) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 640122354) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2023-12-13 |