| NPI | 1629444997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1700493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1200673) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2019-02-13 |