| NPI | 1497882260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 18968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401019117) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-12-03 |