| NPI | 1215442967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 009449) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH61204657) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2022-07-12 |