| NPI | 1558864181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001646) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700724) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2020-02-19 |