| NPI | 1679977177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 0500325) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2024-06-19 |