| NPI | 1346626900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1800836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500399) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2021-07-11 |