| NPI | 1043717101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1901623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700532-TRNE) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-01-15 |