| NPI | 1902295405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1700160) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C 1200402) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2017-04-26 |