| NPI | 1043741887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH 1800777) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C1600377) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-07-12 |