| NPI | 1710126438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0004223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S0018066) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2022-11-01 |