| NPI | 1093209868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001908) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1801225) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2020-10-11 |