| NPI | 1386945327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001289) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019661) |
| 101YP2500X Counselor, Professional (Licence: MT 55918) | |
| 101YP2500X Counselor, Professional (Licence: WI 10230-125) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2024-09-21 |