| NPI | 1952774903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401223859) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.161661) |
| 101YM0800X Counselor Mental Health (Licence: OH C.1400588) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2023-11-22 |