| NPI | 1417600479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6451022264) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2203817-TRNE) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-05-21 |