| NPI | 1336845106 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401225034) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022527) | 
| Enumeration Date | 2023-02-03 | 
| Last Update Date | 2025-04-25 |