| NPI | 1275053746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c.1600055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 169225) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |