| NPI | 1003408428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901935) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2022-05-18 |