| NPI | 1417319351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901576-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1500117) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2022-01-27 |