| NPI | 1427555200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC21007) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018894) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-06-03 |