| NPI | 1881182095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61261503) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2001856) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20465) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-08-20 |