| NPI | 1417134453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401009854) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401009854) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2022-08-16 |