| NPI | 1932658416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1300408-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1300408-SUPV) |
| 101YM0800X Counselor, Mental Health (Licence: OH E. 1300408) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2021-10-10 |