| NPI | 1497194500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1500260) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0900582) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2016-10-13 |