| NPI | 1588142525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2002023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801336) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2021-06-03 |