| NPI | 1902140312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401011717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 6401011717) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2023-11-05 |