| NPI | 1578805081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 267306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C. 1200163) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2021-04-24 |