| NPI | 1699322735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017379) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017379) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2021-03-04 |