| NPI | 1578017935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1700009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 1300272) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-08-20 |