| NPI | 1861966616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202995) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1902217) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-01-30 |