| NPI | 1497102578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11535) |
| 101YP2500X Counselor, Professional (Licence: MI 6401019246) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-10-12 |