| NPI | 1992440499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 240454) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1801054) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |