| NPI | 1265052138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2001925) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 7427) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-12-19 |