| NPI | 1255113221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E1901386) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 270878) |
| 101YM0800X Counselor Mental Health (Licence: IN 39004067A) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |