| NPI | 1487953493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303552) |
| Additional Taxonomies | 251S00000X (Licence: OH c0600624) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2023-06-21 |