| NPI | 1467915736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401225372) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401225372) |
| 101YP2500X Counselor, Professional (Licence: OH E.2505413) | |
| 101Y00000X Counselor (Licence: OH C.2103402-TRNE) | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2026-05-29 |