| NPI | 1295343192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-50326) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2303317) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-09-14 |