| NPI | 1407381528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1700365) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1700365) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2025-01-04 |