| NPI | 1750940631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 260775) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1901045) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1901045) | |
| 101YP2500X Counselor, Professional (Licence: OH E.1901045) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-11-25 |