| NPI | 1679086508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700513) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2021-02-24 |