| NPI | 1982199253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1902025) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1800976-TRNE) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-06-20 |