| NPI | 1699435198 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225351) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101Y00000X Counselor | |
| Enumeration Date | 2021-12-23 | 
| Last Update Date | 2025-09-10 |