| NPI | 1578027991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401004071) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401004071) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2024-09-26 |