| NPI | 1023413770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401014534) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3820) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2404318) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2024-09-24 |