| NPI | 1699229104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1800984) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1300653) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-01-28 |