| NPI | 1881062412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401223723) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6451018735) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2023-11-16 |