| NPI | 1306156088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.12000010-supv) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0900019-CR) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2017-12-08 |