| NPI | 1770991069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1400159) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.1400159) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2019-03-28 |