| NPI | 1902685332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225650) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401225650) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2025-12-30 |