| NPI | 1336512367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1700252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1100144) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2022-07-21 |