| NPI | 1205322435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2102378) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1800942) |
| 101YM0800X Counselor Mental Health (Licence: KY 272502) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2021-12-06 |