| NPI | 1225410277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0700047) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0700047) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2022-04-11 |