| NPI | 1952891632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015966) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-10-24 |