| NPI | 1700394400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001743) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1800924) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2020-12-08 |