| NPI | 1518515782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451024085) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2024-12-30 |