| NPI | 1528577905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700418) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1700418) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-09-17 |