| NPI | 1134558018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303756) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 101Y00000X) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2024-04-12 |