| NPI | 1710551932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 17576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013592) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |