| NPI | 1043694003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 1500313) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1500313-TRNE) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-12-19 |