| NPI | 1508333014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P06960) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-02-19 |