| NPI | 1225768849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 284606) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103614-TRNE) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-07-10 |