| NPI | 1821551417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 272611) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.1901621) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-11-18 |