| NPI | 1386821528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451024512) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201006441) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2025-09-20 |