| NPI | 1497114797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1091193) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 1500168) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2019-11-19 |