| NPI | 1578188009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103263) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH CT.1902139-TRNE) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2021-03-15 |