| NPI | 1528304607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401013130) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013130) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2024-05-11 |