| NPI | 1841700606 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401020335) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1902252) | 
| 101YP2500X Counselor, Professional (Licence: MI 6401020335) | |
| Enumeration Date | 2017-10-06 | 
| Last Update Date | 2025-08-14 |