| NPI | 1740501287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12744) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.1600084) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02619) | |
| 101YM0800X Counselor, Mental Health (Licence: 216934) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401010124) | |
| 101YP2500X Counselor, Professional (Licence: OH E.1600084) | |
| 1041C0700X Social Worker, Clinical (Licence: MI S-20147) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2025-06-27 |