| NPI | 1073812319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 0602180) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2024-08-27 |