| NPI | 1497411466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 268254) |
| 101YP2500X Counselor, Professional (Licence: KY 268254) | |
| 101YP2500X Counselor, Professional (Licence: OH C.2103262) | |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2021-11-13 |