| NPI | 1598815573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 1598815573) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-03-06 |