| NPI | 1508224130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1200192-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.1200192) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2019-07-09 |