| NPI | 1316222508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0900495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0900495) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2018-01-10 |