| NPI | 1871081802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401020316) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61173410) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-02-09 |