| NPI | 1700139680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100128) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1100128) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2020-07-15 |