| NPI | 1184134165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 4142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1700506) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-04-26 |