| NPI | 1730514886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800580) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1200035) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-07-31 |