| NPI | 1164780300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1000334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 1000334) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-01-28 |