| NPI | 1316460686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 282162) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2024-10-23 |