| NPI | 1891063269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012750) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2023-11-04 |