| NPI | 1467931808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101Y00000X Counselor (Licence: MI 6401012959) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2025-07-24 |