| NPI | 1750763868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1500425) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2023-03-07 |