| NPI | 1720748395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404686) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2204555) |
| 101YP2500X Counselor, Professional (Licence: OH C.2204555) | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2024-10-01 |