| NPI | 1295246197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 1801458) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700518-TRNE) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2019-06-05 |