| NPI | 1104243641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.10000327-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C. 1000571) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2022-11-11 |