| NPI | 1770987075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1300598) |
| 101YS0200X Counselor, School (Licence: OH OH3201908) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2020-01-07 |