| NPI | 1649647280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401015308) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A9940) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-11-29 |