| NPI | 1669021853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C2002950) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-02-16 |