| NPI | 1437803145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451022043) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6451022043) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-11-21 |