| NPI | 1902255425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800727) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.0900218) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-06-19 |