| NPI | 1255649521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0003769 SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0003769 SUPV) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-02-14 |