| NPI | 1043644628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1100002) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2018-10-17 |