| NPI | 1205356060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800521-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1500782) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-02-09 |