| NPI | 1114686201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17946) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-03-30 |