| NPI | 1043859390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1902140-TRNE) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2021-06-22 |