| NPI | 1225531189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: S.1903285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1800376-TRNE) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2019-01-09 |