| NPI | 1932598109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1400124-PROV) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2017-07-31 |