| NPI | 1992961528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303694) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C0600590) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2024-01-14 |