| NPI | 1336538545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1700029-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.1700029) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2021-09-09 |