| NPI | 1215382866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700436-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1700436) |
| 101YP2500X Counselor, Professional (Licence: OH E.1700436-SUPV) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2018-11-26 |