| NPI | 1386121556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E2102260) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 89779) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-09-18 |