| NPI | 1992158679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017048) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017048) |
| 101YM0800X Counselor, Mental Health (Licence: CA 13668) | |
| 101YP2500X Counselor, Professional (Licence: CA 13668) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2024-02-19 |