| NPI | 1811464787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401222411) |
| 101YP2500X Counselor, Professional (Licence: MI 6401222411) | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2026-07-15 |