| NPI | 1720551005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401222695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017018) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2026-08-05 |