| NPI | 1245521061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0004389) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 0008258) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2020-04-07 |