| NPI | 1235753500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 89112) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018879) |
| 101YP2500X Counselor, Professional (Licence: TX 89112) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-05-02 |