| NPI | 1023557436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1901414) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 1600548) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2022-09-07 |