| NPI | 1144775081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0600167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1901212) |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2019-07-12 |