| NPI | 1528489697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013004) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2023-05-31 |