| NPI | 1962813998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800652) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2304) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC011711) | |
| 101YM0800X Counselor, Mental Health (Licence: KY 170465) | |
| 101YM0800X Counselor, Mental Health (Licence: TN 4196) | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-02-08 |