| NPI | 1710600515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61670708) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2026-05-07 |