| NPI | 1588055669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102227) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400664-TRNE) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1700477) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2021-04-20 |