| NPI | 1033648571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1600402) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-01-31 |