| NPI | 1255632816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1000012-TRNE) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2018-03-17 |