| NPI | 1902921042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C0602014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16101) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-07-08 |