| NPI | 1881045086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1700692-TRNE) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2018-03-17 |