| NPI | 1346787462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001971) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500567) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2020-11-05 |