| NPI | 1457850588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2305579) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.018446) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2023-10-27 |