| NPI | 1164667788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0700155-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0700155) |
| 101YM0800X Counselor, Mental Health (Licence: OH E0700155-S) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0700155-SUPV) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2021-10-16 |