| NPI | 1194120444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800627) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1400532) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2018-04-26 |