| NPI | 1417494410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401222289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017808) |
| 101YM0800X Counselor, Mental Health | |
| 247200000X Technician, Other | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2023-07-12 |