| NPI | 1568820371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1500292) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1500292) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2024-03-29 |