| NPI | 1538626403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6851116463) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-08-02 |