| NPI | 1104356849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1500366) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |