| NPI | 1154847457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2001712) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.2001712) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-06-10 |