| NPI | 1578043030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6301017500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6301017500) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-02-25 |