| NPI | 1558945584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 285254) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2305098) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2023-07-20 |