| NPI | 1013398809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1700190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1400163) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2018-07-26 |