| NPI | 1659952018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3305) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017150) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2023-04-24 |