| NPI | 1265501670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.110216-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2001031746) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-11-01 |