| NPI | 1952717720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1100270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14904) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2020-07-13 |