| NPI | 1982116661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901454) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700759) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-10-11 |