| NPI | 1629311956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013096) |
| 101Y00000X Counselor | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-04-26 |