| NPI | 1255734570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1700217-SUPV) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2019-08-22 |