| NPI | 1285199000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451017080) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: MI 6401017080) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-06-27 |