| NPI | 1023198777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102659-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401008739) |
| 101YP2500X Counselor, Professional (Licence: MI 6401008739) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-03-16 |