| NPI | 1255851705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001855-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1600610TRNE) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1801172) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |