| NPI | 1497105126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401017280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 172683) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2021-11-15 |