| NPI | 1649544073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401012398) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI 6401012398) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2023-01-09 |