| NPI | 1023359528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C1000137) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C1000137) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2019-02-22 |