| NPI | 1548632391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223989) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 86655) |
| 101YP2500X Counselor, Professional (Licence: OH E.1800821) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2024-09-09 |