| NPI | 1972943272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1200572-TRNE) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2016-07-25 |