| NPI | 1306302807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401223649) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401223649) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2024-08-30 |