| NPI | 1326389735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013368) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 113165) |
| 101YP2500X Counselor Professional (Licence: MI 6401013368) | |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2022-04-01 |