| NPI | 1912126665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0008411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 19458) |
| 101YP2500X Counselor, Professional (Licence: OH e8411) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-01-17 |