| NPI | 1245828623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61157091) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017833) |
| 101YM0800X Counselor Mental Health (Licence: MI 6401017833) | |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2021-10-21 |