| NPI | 1396255733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401015851) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 4101006717) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-09-29 |