| NPI | 1306357223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21973) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500166) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-04-06 |