| NPI | 1164070520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901934-TRNE) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2021-05-10 |