| NPI | 1780816066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223477) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2025-08-13 |