| NPI | 1861073553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E2303292) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2103095) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-01-20 |