| NPI | 1396157822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200382) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1200382) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-01-13 |