| NPI | 1184272791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223867) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019217) |
| 101Y00000X Counselor (Licence: MI 6401019217) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401019217) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-01-22 |