| NPI | 1558801084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8306) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH1256673) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC015675) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2025-05-26 |