| NPI | 1093593030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2404168) |
| 101YM0800X Counselor, Mental Health (Licence: NC 19854) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-10-31 |