| NPI | 1972971224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222519) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1118) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2024-08-29 |