| NPI | 1659887966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451023081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451023081) |
| 101YS0200X Counselor, School (Licence: MI SC0000001122856) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2023-06-21 |