| NPI | 1225426794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1400040) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1400040-TRNE) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2018-12-12 |