| NPI | 1093220014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2203215) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700815) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2023-07-25 |