| NPI | 1376970137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401008475) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401008475) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2026-07-09 |