| NPI | 1235407057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP1182-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-0501217) |
| 101YP2500X Counselor, Professional (Licence: OH E-0501217) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2019-07-18 |