| NPI | 1629337290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000463-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1000463-SUPV) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2023-04-24 |