| NPI | 1437701992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401019816) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017479) |
| 101YP2500X Counselor, Professional (Licence: MI 6401019816) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2026-04-19 |