| NPI | 1700941457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.0007778-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011004) |
| 101YM0800X Counselor Mental Health (Licence: MI 6401011004) | |
| 101YP2500X Counselor Professional (Licence: OH E0007778) | |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2020-03-05 |