| NPI | 1245626845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011993) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011993) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401011993) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |