| NPI | 1326556879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401018468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015122) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2020-11-05 |