| NPI | 1821655416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2002453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901692-TRNE) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-02-07 |