| NPI | 1013254275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1200617-TRNE) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1800747) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2021-09-08 |