| NPI | 1568615565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001996A) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2020-10-06 |