| NPI | 1750715421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.0500098) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 0500098) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-03-03 |