| NPI | 1710427745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901054) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 1500251) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2019-03-05 |