| NPI | 1376896753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401012076) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401012076) |
| 101YP2500X Counselor, Professional (Licence: MI 6401012076) | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2026-03-20 |