| NPI | 1396200036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202789) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700596) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-03-23 |