| NPI | 1679080527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15582) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E1600036) |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2018-01-01 |