| NPI | 1811462104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61309060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH F.2400411) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2404050) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2024-04-14 |