| NPI | 1013571181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2102429-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH APP-000217274) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-05-03 |