| NPI | 1598280570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401017893) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500081) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-09-11 |