| NPI | 1083213169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: OH W.2300360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002657-TRNE) |
| 251S00000X | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2024-03-26 |