| NPI | 1053973040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102418) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1901870) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2021-08-04 |