| NPI | 1578613212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C0501051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0501051) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-12-16 |