| NPI | 1407507262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2405761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2203792-TRNE) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2024-03-14 |