| NPI | 1164740668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0500063) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2022-06-16 |