| NPI | 1225656671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401018413) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018413) |
| 101YP2500X Counselor, Professional (Licence: MI 6401018413) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-11-29 |