| NPI | 1407278492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH M.1300011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10303) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2019-02-26 |