NPI | 1982305686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224444) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022564) |
Enumeration Date | 2023-03-10 |
Last Update Date | 2025-03-14 |