| NPI | 1629555636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701013560) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801037-TRNE) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-08-15 |