| NPI | 1558725812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800684) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1600075) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-08-15 |