| NPI | 1043268006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0003700-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E3700) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-08-16 |