| NPI | 1770018285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800882) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1500660) |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2018-10-08 |