| NPI | 1124500962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202692-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801193-TRNE) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-01-16 |