| NPI | 1306617592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2406464) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2405460-TRNE) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-09-12 |