| NPI | 1962720805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health (Licence: MI L1331297) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2021-06-22 |