| NPI | 1073878799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1100550-S) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1100550-TRNE) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-03-04 |