| NPI | 1063995579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103472) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2021-07-01 |