| NPI | 1649282260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 991462- LICDC) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-03-18 |