| NPI | 1487029740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH NH-2179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2179) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1100597) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ LAC15280) | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2019-12-17 |