| NPI | 1639597867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700064) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH cC1400127) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2019-08-07 |