| NPI | 1215715552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88001792A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2305384) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |