| NPI | 1578023420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223153) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 01016945) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-03-19 |