| NPI | 1134832835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.020543) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204477-TRNE) |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2024-09-23 |