| NPI | 1477028512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401019809) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016609) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2021-09-30 |