| NPI | 1396211058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E2002013) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801153) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-12-02 |