| NPI | 1932714375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014962) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401225690) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2303429) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 12135-125) | |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2025-11-20 |