| NPI | 1942635404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401004785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0123811) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0011797) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401004785) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-11-15 |