| NPI | 1194209080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901759) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2019-03-14 |