| NPI | 1205435039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6451021998) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401224458) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-05-21 |