| NPI | 1457869315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0602079) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2020-01-03 |