| NPI | 1598299075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000385-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health (Licence: OH E100385) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-10-06 |