| NPI | 1396260600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901243) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1700412) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2021-05-19 |