| 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 |