| NPI | 1417224551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0601005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.06001005) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2019-02-04 |