| NPI | 1922567833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401018889) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018889) |
| 101YP2500X Counselor, Professional (Licence: MI 6401016835) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-12-28 |