| NPI | 1871125963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018141) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401018141) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401018141) | |
| 101YS0200X Counselor, School (Licence: MI IF0000000335410) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2021-01-25 |