| NPI | 1083940183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0003496) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 0003496) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2024-11-08 |