| NPI | 1235659764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2204700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1701075) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-02-07 |