| NPI | 1467817973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401222541) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2023-10-10 |