| NPI | 1326496290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C0900623) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1800630) |
| 101Y00000X Counselor (Licence: CO LPC.0016716) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1800630) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016716) | |
| 101YP2500X Counselor, Professional (Licence: OH E.1800630) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0016716) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-05-04 |