| NPI | 1235665852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303795) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801170) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1700140-TRNE) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2025-01-22 |