| NPI | 1346614195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1200474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c 1200474) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-10-31 |