| NPI | 1811404304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300717) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2022-03-01 |