| NPI | 1053809749 |
|---|---|
| Former Name | VICTORIA MARIE BONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102087) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700625-TRNE) |
| 101YP2500X Counselor, Professional (Licence: OH E.2102087) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2021-04-08 |