| NPI | 1578922589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013284) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2017-11-10 |