| NPI | 1205079498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 0004135) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH 895) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2021-10-05 |