| NPI | 1750920815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C2103287) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901880-TRNE) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2022-08-31 |