| NPI | 1740613926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013793) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015626) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401013793) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401013793) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2023-12-14 |