| NPI | 1487080412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 4467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0017294) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401013640) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-03-03 |