| NPI | 1619610987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C-2204583) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103319-TRNE) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2023-08-28 |