| NPI | 1285102061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700795) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2023-10-12 |