| NPI | 1659540003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S12008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0500574-CR) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2019-08-22 |