| NPI | 1497241913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85534) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700493) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-05-18 |