| NPI | 1962075804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1600267) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LAC-16628) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-11-09 |