| NPI | 1679934285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1000441) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2018-02-05 |