| NPI | 1154999407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.018746) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103198-TRNE) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-01-26 |