| NPI | 1629518675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401090920510) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2018-06-29 |