| NPI | 1629746235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224584) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224584) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-09-27 |