| NPI | 1265989552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401015556) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015556) |
| 101YP2500X Counselor, Professional (Licence: MI 6401015556) | |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2021-03-04 |