| NPI | 1417386905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH 2303838) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 165927) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2024-09-30 |