| NPI | 1316334980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1700207) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C-1300066) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-07-27 |