| NPI | 1710577556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2204139) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-06-13 |