| NPI | 1104183920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2002000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1200088TRNE) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2021-03-26 |