| NPI | 1710586441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002997) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2024-09-16 |