| NPI | 1376136986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451019064) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401019064) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2022-02-08 |