| NPI | 1295157048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1200687) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2020-04-08 |