| NPI | 1295258846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2102486) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-04-18 |