| NPI | 1972002723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 640104841) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 640104841) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2021-09-30 |