| NPI | 1912149246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007674) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401007674) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401007674) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2020-01-31 |