| NPI | 1336757046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401222906) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018456) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-03-01 |