| NPI | 1073851200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200214-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1200214) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2024-03-05 |