| NPI | 1104902907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002367-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0002367-SUPV) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-01-31 |