| NPI | 1649660275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C-1500132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C-1500132-TRNE) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2017-12-06 |