| NPI | 1558803858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC012030) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E2303704) |
| 101YM0800X Counselor, Mental Health (Licence: WV 2880) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2024-04-17 |