| NPI | 1508641432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2204727) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 281814) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |