| NPI | 1881283539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401018978) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 90613) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2023-01-02 |