| NPI | 1205036068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.0800057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0800057-SUPV) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2019-10-31 |