| NPI | 1093235566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102295) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700415) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-05-11 |