| NPI | 1508424797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2002634) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901636-TRNE) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-05-20 |