| NPI | 1093477648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LAC-21749) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2103641) |
| 101YS0200X Counselor School (Licence: AZ 3726011) | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-08-03 |