| NPI | 1003232406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1400102-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH LE00028548) |
| 101YP2500X Counselor, Professional (Licence: OH C1400102) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2019-08-22 |