| NPI | 1285027052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700257-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400402-TRNE) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-10-09 |