| NPI | 1467807313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1800926-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1300399) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-03-27 |