| NPI | 1770135816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401222769) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017780) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-01-18 |