| NPI | 1770959751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.0800003) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 0800003) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-01-22 |