| NPI | 1083960827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1100179-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1100179) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2024-01-02 |