| NPI | 1396367124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401018015) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223258) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2026-06-22 |