| NPI | 1588150775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1901661) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801013-TRNE) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: OH C.1801013-TRNE) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-02-06 |