| NPI | 1396138707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7772) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2592) |
| 101YM0800X Counselor, Mental Health (Licence: KS 2709) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2021-03-31 |