| NPI | 1407504814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451019574) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451019574) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2023-07-18 |