| NPI | 1609112291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0600617) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.0600617) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2024-06-11 |