| NPI | 1215586516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303672) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1901923) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-05-13 |