| NPI | 1982276317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401223549) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401223549) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-12-28 |