| NPI | 1407376536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25502) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017288) |
| 101YM0800X Counselor, Mental Health (Licence: NM CMH0211101) | |
| 101YS0200X Counselor, School (Licence: MI PV0000000820594) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-07-13 |