| NPI | 1629574785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1801603) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700725-TRNE) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-01-16 |