| NPI | 1275148801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904014759) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.2204088) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-01-19 |