| NPI | 1487999736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E-2001973-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401223497) |
| 225C00000X Rehabilitation Counselor (Licence: 00094728) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2024-08-29 |