| NPI | 1255706651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1600612) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2017-11-17 |