| NPI | 1669755781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0500006) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0500006-SUPV) |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2023-03-13 |