| NPI | 1366578601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0500171-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C. 0500171) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-12-20 |