| NPI | 1396330775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014470) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014470) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2025-05-03 |