| NPI | 1467711580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700159) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009963) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2024-05-01 |