| NPI | 1336407873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1400010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1000383) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2017-03-01 |