| NPI | 1255792990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800567) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0900463) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2020-06-02 |