| NPI | 1073826947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0800520) |
| 101YP2500X Counselor, Professional (Licence: OH C.0800520) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-12-05 |