| NPI | 1962569418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401012205) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C500060) |
| 101YM0800X Counselor, Mental Health (Licence: FL 10217) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-06-03 |