| NPI | 1861660359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002642A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0500961) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2020-11-10 |