| NPI | 1730744061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C2002690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: C.1901634-TRNE) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2021-03-16 |