| NPI | 1649490368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001659) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1500123) |
| 101YM0800X Counselor, Mental Health (Licence: OH C1500123) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-02-25 |