| NPI | 1619276599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2847) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0600477) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-05-10 |