| NPI | 1063707131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1000046-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-1000046) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2023-10-17 |