| NPI | 1699254615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202767) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1901609) |
| 101Y00000X Counselor (Licence: OH C.1800852-TRNE) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-03-03 |