| NPI | 1316291669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1700489) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1200072-TRNE) |
| 101YP2500X Counselor Professional (Licence: OH C 1200072) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2018-01-23 |