| NPI | 1033701867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 4410) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2002468-TRNE) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-05-22 |