| NPI | 1174179659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2002881) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901861-TRNE) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-09-17 |