| NPI | 1588199228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E1901245) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.0006707) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-02-18 |