| NPI | 1316384480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013673) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013673) |
| 101YP2500X Counselor, Professional (Licence: MI 6401013673) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2026-05-11 |