| NPI | 1407795313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451024869) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 9426) |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-03-26 |