| NPI | 1588004352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9973) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 2001797) |
| 101YM0800X Counselor, Mental Health (Licence: IA 114451) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1472) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-09-08 |