| NPI | 1831589886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP6029) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300563-CR) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2016-05-04 |