| NPI | 1831566850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1800653) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 1400094) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2018-04-19 |