| NPI | 1083268098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401223932) |
| 101YM0800X Counselor, Mental Health (Licence: TX 99723) | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2026-05-12 |