| NPI | 1164908489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG61025601) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1801062-TRNE) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-12-09 |