| NPI | 1134701337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204087) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103096-TRNE) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-06-15 |