| NPI | 1588093868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401013590) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401013590) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-06-10 |