| NPI | 1942956180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401225378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451023198) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2025-12-01 |