| NPI | 1952701567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401016915) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0014471) |
| 101Y00000X Counselor (Licence: MI 6401016915) | |
| 101YP2500X Counselor, Professional | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-12-11 |