| NPI | 1124534748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1700100-TRNE) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH APP-000111421) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |