| NPI | 1578970133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224171) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014372) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2026-08-28 |