| NPI | 1609349893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901521-TRNE) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2024-04-17 |