| NPI | 1982944781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1100640.SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E1100640) |
| 101YP2500X Counselor, Professional (Licence: OH C.1100640) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2018-06-14 |