| NPI | 1366834954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400190-TRNE) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2022-12-09 |