| NPI | 1326510512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102074) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801294) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2021-01-21 |