| NPI | 1104541762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2305125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2203966-TRNE) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-07-12 |