| NPI | 1093054165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80644) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1200252) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1800848) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2023-08-04 |