| NPI | 1902306145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401012846) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451012846) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2025-04-22 |