| NPI | 1942956180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451023198) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-10-02 |