| NPI | 1205970761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN CC01515) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: OH E0008095) |
| 101YP2500X Counselor Professional (Licence: OH E0008095) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-11-05 |