| NPI | 1295333557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: E.2203258-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2203258) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: OH 2002999) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2024-01-11 |