| NPI | 1316118250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1600037-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA pc003862) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2024-06-25 |