| NPI | 1376985416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401013663) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401013663) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2023-07-31 |