| NPI | 1457898546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1200558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 101YP2500X) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2021-05-12 |