| NPI | 1750829263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401005542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 229925) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2024-12-09 |