| NPI | 1720359508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I.2102656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.2012656) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2024-11-12 |