| NPI | 1164974689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61004330) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1300688) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2020-03-25 |