| NPI | 1922239391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C,0800193) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010694) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |