| NPI | 1376904052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700439) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1400100) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2023-09-13 |