| NPI | 1811647043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224757) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451019696) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2024-11-26 |