| NPI | 1184749251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0002552-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-0002552) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-03-07 |