| NPI | 1144624685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1100262) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2021-05-03 |