| NPI | 1588845622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 5467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0003508) |
| 101YM0800X Counselor, Mental Health (Licence: HI 135) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2020-12-07 |