| NPI | 1992469050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451019582) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-10-21 |