| NPI | 1477093938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901042) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1200143) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-03-28 |