| NPI | 1730582081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1300677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300677-TRNE) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2015-10-22 |