| NPI | 1659879559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 270713) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1801082) |
| 101YM0800X Counselor Mental Health (Licence: KY 240038) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2021-05-21 |