| NPI | 1275903288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15099) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1200017) |
| 101YP2500X Counselor, Professional (Licence: FL PMH1252) | |
| 101YP2500X Counselor, Professional (Licence: MS 1198) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2018-03-16 |