| NPI | 1316199920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9410759-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401002882) |
| 101YP2500X Counselor, Professional (Licence: UT 9410759-6004) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2020-09-17 |