| NPI | 1023401973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0007563) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2023-03-08 |