| NPI | 1093278525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 1801071) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 174524) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |