| NPI | 1023566270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001948) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2001948) |
| 101YP2500X Counselor, Professional (Licence: OH C 1600469) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2020-11-18 |