| NPI | 1629447362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015104) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2020-11-20 |