| NPI | 1942367941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2140) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C-0008138) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-05-08 |