| NPI | 1023484367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800528) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1400398) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2023-05-05 |