| NPI | 1629111653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0008061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0008061) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-01-08 |