| NPI | 1376109603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016999) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-11-14 |