| NPI | 1306607494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2406512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2405479-TRNE) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-09-20 |