| NPI | 1033658992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1901033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500828) |
| 101YM0800X Counselor, Mental Health (Licence: OH 1500828) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-07-10 |