| NPI | 1952056392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2204760) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2203813-TRNE) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2023-03-06 |