| NPI | 1619426244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: E.2001709-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 2001709) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2025-01-03 |