| NPI | 1720461601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1700344) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1400297) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2019-07-27 |