| NPI | 1164695649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0601020-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E. 0601020) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2023-09-08 |