| NPI | 1528506227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800999) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1600647) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-08-05 |