| NPI | 1700403151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303378) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2002600) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2203961) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-04-12 |