| NPI | 1558082172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451022450) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 22130) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2026-04-13 |