| NPI | 1518326511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6361001948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6301016606) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2020-09-08 |