| NPI | 1932707403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223045) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018697) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2022-11-30 |