| NPI | 1427711761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224023) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401224023) |
| 101YP2500X Counselor, Professional (Licence: MI 6451019783) | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-09-20 |