| NPI | 1902035587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010828) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19096) |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2025-07-12 |