| NPI | 1063894491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303439) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901933) |
| 101YP2500X Counselor, Professional (Licence: OH C.1901933) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-04-21 |