| NPI | 1336615210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1901727) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1800918-TRNE) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2019-02-14 |