| NPI | 1578767109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0002883-S) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E-0002883) |
| 101Y00000X Counselor (Licence: TX 62785) | |
| 101YM0800X Counselor Mental Health (Licence: NM 0129471) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-06-22 |