| NPI | 1396250270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401018841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016940) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2022-04-21 |