| NPI | 1235758400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1801552) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1801552) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-11-28 |