| NPI | 1770940470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001725) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1400130) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2024-05-13 |