| NPI | 1639342421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0602179-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0602179 SUPV) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0602179) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2022-01-24 |