| NPI | 1508300328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008676) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1600021) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH13685) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2024-07-17 |