| NPI | 1548755036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102646) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700791) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-12-28 |