| NPI | 1982103180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018473) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH15714) | |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2023-12-04 |