| NPI | 1205131760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134237) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E-1000055) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2024-04-10 |