| NPI | 1467033191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401222994) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013518) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-10-19 |