| NPI | 1053683292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015276) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH SY954600) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401015276) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2024-01-05 |