| NPI | 1689271462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP13280) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103889) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-01-10 |