| NPI | 1780339382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451019052) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-04-03 |