| NPI | 1386007870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH e.1800571-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400332) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-07-07 |