| NPI | 1770854978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7364) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013286) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2024-03-01 |