| NPI | 1245886548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401222365) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02711) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2026-03-10 |