| NPI | 1932714375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.014962) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.2303429) |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2024-05-15 |