| NPI | 1467096990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017778) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-10-13 |