| NPI | 1891116638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401010216) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2022-03-04 |