| NPI | 1508488859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11034) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12730) |
| 101YM0800X Counselor, Mental Health (Licence: KY 171099) | |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |