| NPI | 1245696137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401004035) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401004035) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2025-12-05 |