| NPI | 1245663095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 5711) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.0900349) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-03-17 |