| NPI | 1508312943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500593) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-10-28 |