| NPI | 1497143887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6806) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2203207) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2023-07-26 |