| NPI | 1972189421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451018593) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 640108593) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-09-03 |