| NPI | 1487148391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1902189) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH APP-000164820) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2021-06-06 |