| NPI | 1235673583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300205) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2020-01-17 |