| NPI | 1194518035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 8928) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000001082449) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401224260) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401224260) | |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-09-30 |