| NPI | 1568290237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451022433) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000001114637) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |