| NPI | 1588069355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18384) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1700152) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-02-16 |