| NPI | 1801305222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401016405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18537) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401016405) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2025-06-10 |